![]() Allow our experiences and expertise to aid you in preparing for the inevitable audit. And, as all government budgets tighten, it should not be surprising that the Medicare program will continue to look for potential overpayments through the audit process. It's clear that the Medicare program is paying more attention to services billed by hospitals and hospital-based providers as CMS's goal is to reduce/prevent improper payments. Incorrect place of service codes has been, and continues to be, on the OIG work plan. Capturing correct places of service and understanding which diagnostic services can be billed by the physician and which must be billed by the hospital are critical for proper reimbursement. Allow our experience and expertise to aid you in preparing for the inevitable audit.Īcevedo Consulting understands that billing for physician services under the outpatient prospective payment system presents its own set of challenges and required knowledge of regulatory requirements specific to "provider-based" billing. Acevedo Consulting was deeply involved with the Recovery Audit Contractor's audits during the 3-year Florida demonstration program. CMS' goal is to reduce/prevent improper payments. It's clear that the Medicare program is paying more attention to services billed by physicians through increased use of ADRs. Acevedo Consulting has years of experience developing and implementing compliance program tailored to physician practices, both large and small. While many practices have compliance programs - at least in spirit - these are now mandatory for all Medicare and Medicaid providers, regardless of specialty. Our client list includes the following Medical Specialty areas: Our understanding of, and particular expertise in the industry's nuances is paramount to balancing risk and practicality while optimizing revenue. Whether a mobile diagnostic company, teleradiology group, or and IDTF, we can assist you with developing and implementing a compliance program that meets your needs. Allow our experience and expertise to aid you in preparing for the inevitable audit. ![]() Acevedo Consulting was deeply involved with the Recovery Audit Contractor's audits during the 3-year Florida demonstration program. It's clear that the Medicare program is paying more attention to signed, documented physician orders when reviewing claims for diagnostic services. More than any other healthcare provider, being paid for your services is dependent on someone else: the ordering physician. Capturing accurate CPT codes, modifiers, correct place of service and dates of service are critical for proper reimbursement. ![]() ![]() Acevedo Consulting appreciates that optimizing diagnostic billing requires an understanding of the regulatory requirements not only of billing, but Medicare credentialing of both physicians and staff. ![]()
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